| Regimental number | 5796 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Printer |
| Address | Mount Morgan, Queensland |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs Elizabeth Buck, Federal Boarding House, Mount Morgan, Queensland |
| Enlistment date | 8 June 1916 |
| Date of enlistment from Nominal Roll | 8 August 1916 |
| Rank on enlistment | Private |
| Unit name | 25th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/42/4 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A36 Boonah on 21 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 25th Battalion |
| Fate | Returned to Australia 21 April 1918 |
